Individual
TERESA ANN SIDEBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 POTTERS LN, CLARKSVILLE, IN 47129-1017
(812) 948-0808
Mailing address
6139 SCOTTSVILLE RD, FLOYDS KNOBS, IN 47119-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004518A
IN
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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